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NPI Code Detail

MEDICARE: LAUREN KEANE WILLIAMS LCSW-C

MEDICARE:   LAUREN KEANE WILLIAMS  LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker24913MD

General Provider Information

NPI Number : 1841061173
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN KEANE WILLIAMS LCSW-C
Provider Business Mailing Address
First Line : 5215 TALBOTS LNDG
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-6845
Country : US
Telephone Number : 410-596-2082
Fax Number :
Provider Business Practice Location Address
First Line : 5215 TALBOTS LNDG
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-6845
Country : US
Telephone Number : 410-596-2082
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2024
Last Update Date : 01/15/2024

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Directions to “ LAUREN KEANE WILLIAMS LCSW-C” Practice Location

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